FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2052391903> ?p ?o ?g. }

• W2052391903 endingPage "858" @default.
• W2052391903 startingPage "858" @default.
• W2052391903 abstract "To quantify the trade-off between the expected increased short- and long-term costs and the expected increase in quality-adjusted life expectancy (QALE) associated with total hip arthroplasty (THA) for persons with functionally significant hip osteoarthritis.A cost-effectiveness study was performed from the societal perspective by constructing stochastic tree, decision analytic models designed to estimate lifetime functional outcomes and costs of THA and nonoperative managements.A modified four-state American College of Rheumatology functional status classification was used to measure effectiveness. These functional classes were assigned utility values to allow the relative effectiveness of THA to be expressed in quality-adjusted life years (QALYs). Lifetime costs included costs associated with primary and potential revision surgeries and long-term care costs associated with the functionally dependent class. DATA USED IN THE COST-EFFECTIVENESS MODEL: Probability and incidence rate data were summarized from the literature. The THA hospital cost data were obtained from local teaching hospitals' cost accounting systems. Estimates of recurring medical costs for functionally significant hip osteoarthritis and for custodial care were derived from the literature.The THA cost-effectiveness ratio increases with age and is higher for men than for women. In the base-case scenario for 60-year-old white women who have functionally significant but not dependent hip osteoarthritis, the model predicts that THA is cost saving because of the high costs of custodial care associated with dependency due to worsening hip osteoarthritis and that the procedure increases QALE by about 6.9 years. In the base-case scenario for men aged 85 years and older, the average lifetime cost associated with THA is $9100 more than nonoperative management, with an average increase in QALE of about 2 years. Thus, the THA cost-effectiveness ratio for men aged 85 years and older is $4600 per QALY gained, less than that of procedures intended to extend life such as coronary artery bypass surgery or renal dialysis. Worst-case analysis suggests that THA remains minimally cost-effective for this oldest age category ($80,000/QALY) even if probabilities, rates, utilities, costs, and the discount rate are simultaneously varied to extreme values that bias the analysis against surgery.For persons with hip osteoarthritis associated with significant functional limitation, THA can be cost saving or, at worst, cost- effective in improving QALE when both short- and long-term outcomes are considered. Further research is needed to determine whether this procedure is actually being used in this cost-effective manner, especially in older age categories." @default.
• W2052391903 created "2016-06-24" @default.
• W2052391903 creator A5050865342 @default.
• W2052391903 creator A5052712337 @default.
• W2052391903 creator A5052726116 @default.
• W2052391903 date "1996-03-20" @default.
• W2052391903 modified "2023-10-06" @default.
• W2052391903 title "A Cost-effectiveness Analysis of Total Hip Arthroplasty for Osteoarthritis of the Hip" @default.
• W2052391903 cites W102342684 @default.
• W2052391903 cites W121238503 @default.
• W2052391903 cites W130807244 @default.
• W2052391903 cites W1488157103 @default.
• W2052391903 cites W1554726976 @default.
• W2052391903 cites W1560045148 @default.
• W2052391903 cites W1893597984 @default.
• W2052391903 cites W1942576920 @default.
• W2052391903 cites W1950281536 @default.
• W2052391903 cites W1964424379 @default.
• W2052391903 cites W1968006932 @default.
• W2052391903 cites W1969730915 @default.
• W2052391903 cites W1969984630 @default.
• W2052391903 cites W1977640586 @default.
• W2052391903 cites W1980999093 @default.
• W2052391903 cites W1984728232 @default.
• W2052391903 cites W1985364014 @default.
• W2052391903 cites W1985615010 @default.
• W2052391903 cites W1986552542 @default.
• W2052391903 cites W1996181066 @default.
• W2052391903 cites W1999648143 @default.
• W2052391903 cites W2002814703 @default.
• W2052391903 cites W2010442905 @default.
• W2052391903 cites W2014857155 @default.
• W2052391903 cites W2030767186 @default.
• W2052391903 cites W2032054473 @default.
• W2052391903 cites W2032531901 @default.
• W2052391903 cites W2034294525 @default.
• W2052391903 cites W2034885695 @default.
• W2052391903 cites W2052124973 @default.
• W2052391903 cites W2053969653 @default.
• W2052391903 cites W2055297218 @default.
• W2052391903 cites W2072801677 @default.
• W2052391903 cites W2075437304 @default.
• W2052391903 cites W2079987703 @default.
• W2052391903 cites W2087528788 @default.
• W2052391903 cites W2088158803 @default.
• W2052391903 cites W2092689271 @default.
• W2052391903 cites W2102890711 @default.
• W2052391903 cites W2140595658 @default.
• W2052391903 cites W2147607210 @default.
• W2052391903 cites W2172026179 @default.
• W2052391903 cites W2174299713 @default.
• W2052391903 cites W2256220430 @default.
• W2052391903 cites W2263872284 @default.
• W2052391903 cites W2286194932 @default.
• W2052391903 cites W2310520829 @default.
• W2052391903 cites W2313290093 @default.
• W2052391903 cites W2358069683 @default.
• W2052391903 cites W2401187305 @default.
• W2052391903 cites W2410070460 @default.
• W2052391903 cites W2415656606 @default.
• W2052391903 cites W2424379583 @default.
• W2052391903 cites W2444018567 @default.
• W2052391903 cites W2514882565 @default.
• W2052391903 cites W2886853601 @default.
• W2052391903 cites W2305530281 @default.
• W2052391903 cites W2336274323 @default.
• W2052391903 doi "https://doi.org/10.1001/jama.1996.03530350040032" @default.
• W2052391903 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/8596224" @default.
• W2052391903 hasPublicationYear "1996" @default.
• W2052391903 type Work @default.
• W2052391903 sameAs 2052391903 @default.
• W2052391903 citedByCount "466" @default.
• W2052391903 countsByYear W20523919032012 @default.
• W2052391903 countsByYear W20523919032013 @default.
• W2052391903 countsByYear W20523919032014 @default.
• W2052391903 countsByYear W20523919032015 @default.
• W2052391903 countsByYear W20523919032016 @default.
• W2052391903 countsByYear W20523919032017 @default.
• W2052391903 countsByYear W20523919032018 @default.
• W2052391903 countsByYear W20523919032019 @default.
• W2052391903 countsByYear W20523919032020 @default.
• W2052391903 countsByYear W20523919032021 @default.
• W2052391903 countsByYear W20523919032022 @default.
• W2052391903 countsByYear W20523919032023 @default.
• W2052391903 crossrefType "journal-article" @default.
• W2052391903 hasAuthorship W2052391903A5050865342 @default.
• W2052391903 hasAuthorship W2052391903A5052712337 @default.
• W2052391903 hasAuthorship W2052391903A5052726116 @default.
• W2052391903 hasConcept C112930515 @default.
• W2052391903 hasConcept C127454912 @default.
• W2052391903 hasConcept C133925201 @default.
• W2052391903 hasConcept C141071460 @default.
• W2052391903 hasConcept C142724271 @default.
• W2052391903 hasConcept C159110408 @default.
• W2052391903 hasConcept C160735492 @default.
• W2052391903 hasConcept C162324750 @default.
• W2052391903 hasConcept C1862650 @default.
• W2052391903 hasConcept C18903297 @default.

• next